tribal health advisor · 6.01.2019  · with shasta college. the medical scribe role is being...

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CRIHB 1020 Sundown Way Roseville, CA 95661 Phone: (916) 929-9761 Fax: (916) 929-7246 www.crihb.org ADVISOR Tribal Health Inside is Issue: Tribal Advocacy in Congress Pg. 1 Workforce Development Pg. 3 New Laws Impacting Clinics Pg. 4 340B Compliance Pg. 5 NIHB Update Pg. 5 Addressing the Opioid Epidemic TMAA Updates Pg. 7 Adventures of Rippy Pg. 8 Head Start/Child Development Pg. 9 New CRIHB Staff Pg. 10 April TGCC Meeting Pg. 11 March on Washington Pg. 12 April BOD Meeting Pg. 13 Calendar of Events Pg. 14 January 2019 Volume 51, No. 1 Tribal Representatives to Advocate Congress Provide Federal Funds for California Tribal Healthcare e convening of the 116th United States (US) Congress, began January 3, 2019. e Democrats now control the House of Representatives and the Republicans have a larger majority in the Senate. ere will be opportunities to achieve bipartisan support to advance California Tribal healthcare goals. It is critical that such advocacy work take place, otherwise our Tribal healthcare needs, and rights, could be overlooked as Congress moves its legislative spending plans forward. Extensive work is needed to bring the Indian Health Service, and specifically, the California Tribal healthcare system, up to par with health services provided by other agencies, such as the Veterans Administration. e report Broken Promises: Continuing Federal Funding Shortfall for Native Americans released last year by the US Commission on Civil Rights states: “…the efforts undertaken by the federal government in the past 15 years have resulted in only minor improvements, at best, for the Native population as a whole. And, in some respects, the US Government has backslid in its treatment of Native Americans, and there is more that must be done...” e report is further evidence that the US is not adequately fulfilling its trust obligations to Indian country. Given this, we must actively advocate to move the federal government to fulfill its responsibilities. In this advocacy work, California Tribal healthcare representatives had clear successes. A recent example occurred Pg. 6

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Page 1: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

CRIHB

1020 Sundown WayRoseville, CA 95661

Phone: (916) 929-9761Fax: (916) 929-7246

www.crihb.org

ADVISORTribal Health

Inside This Issue:

Tribal Advocacy in Congress Pg. 1

Workforce Development Pg. 3

New Laws Impacting Clinics Pg. 4

340B Compliance Pg. 5

NIHB Update Pg. 5

Addressing the Opioid Epidemic

TMAA Updates Pg. 7

Adventures of Rippy Pg. 8

Head Start/Child Development Pg. 9

New CRIHB Staff Pg. 10

April TGCC Meeting Pg. 11

March on Washington Pg. 12

April BOD Meeting Pg. 13

Calendar of Events Pg. 14

January 2019 Volume 51, No. 1

Tribal Representatives to Advocate Congress Provide Federal Funds for California Tribal Healthcare

The convening of the 116th United States (US) Congress, began January 3, 2019. The Democrats now control the House of Representatives and the Republicans have a larger majority in the Senate. There will be opportunities to achieve bipartisan support to advance California Tribal healthcare goals. It is critical that such advocacy work take place, otherwise our Tribal healthcare needs, and rights, could be overlooked as Congress moves its legislative spending plans forward.

Extensive work is needed to bring the Indian Health Service, and specifically, the California Tribal healthcare system, up to par with health services provided by other agencies, such as the Veterans Administration. The report Broken Promises: Continuing Federal Funding Shortfall for Native Americans released last year by the US Commission on Civil Rights states:

“…the efforts undertaken by the federal government in the past 15 years have resulted in only minor improvements, at best, for the Native population as a whole. And, in some respects, the US Government has backslid in its treatment of Native Americans, and there is more that must be done...”

The report is further evidence that the US is not adequately fulfilling its trust obligations to Indian country. Given this, we must actively advocate to move the federal government to fulfill its responsibilities. In this advocacy work, California Tribal healthcare representatives had clear successes. A recent example occurred

Pg. 6

Page 2: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

Congress (cont.)CRIHB Board of DirectorsFrieda Bennett & Lisa CarleAnav Tribal Health Clinic

Patricia Reece & Guy TaylorFeather River Tribal Health, Inc.

Andrea Cazares-Diego & Angela MartinGreenville Rancheria Tribal Health Program

Archie Super & Michael ThomKaruk Tribal Health & Human Services

Lesley Hunt & Marcellene Norton K'ima:w Medical Center

Clois Erwin Mathiesen Memorial Health Clinic

Lauri Hayward & Agnes GonzalezPit River Health Service, Inc.

Michelle Hayward & JoAnn TurmelRedding Rancheria Tribal Health Center

Desiree FrancoRiverside-San Bernardino County Indian Health, Inc.

Lisa Elgin & Reno FranklinSonoma County Indian Health Project, Inc.

Matthew Jones & Richard JonesTable Mountain Medical Center

Rick Maddux & Kristopher HohagToiyabe Indian Health Project, Inc.

Donna Medrano & Gayline Hunter Tule River Indian Health Center, Inc.

Teresa Ballew & LaWanda Quinnell United Indian Health Services, Inc.

Kevin L. Townsend & Nick FoltzWarner Mountain Indian Health Program

* Delegates to be determinedChapa-De Indian Health Program, Inc.

CRIHB OfficersDr. Mark LeBeau - Chief Executive Officer Marilyn Pollard - Chief Operations Officer Ron Moody - Chief Financial Officer Susan Dahl - Chief Compliance Officer

2

on September 30, 2018 when President Trump signed HR 6157.

The legislation includes:

1) $50 million set-aside for Tribes and Tribalorganizations in State Opioid Response Grants;

2) $40 million for Tribal Behavioral HealthGrants ($20 million for mental health and $20million for substance abuse);

3) $21 million for Good Health and Wellness inIndian Country;

4) $10 million set-aside for Tribes forMedication Assisted Treatment forPrescription Drug and Opioid Addiction;

5) $2.9 million set-aside for Tribal SuicidePrevention; and

6) $2.2 million set-aside for the Tribal ZeroSuicide Prevention Initiative.

In preparation for working with the 116th Congress, during California Rural Indian Health Board’s (CRIHB) advocacy priority meeting on October 20, 2018, Tribal representatives identified the following key federal priorities:

Tribal healthcare representatives in California will converge April 29 - May 3, 2019 on Capitol Hill to advocate for federal funding and other initiatives that benefit the California Tribal healthcare system. CRIHB is scheduling meetings with Senate and House representatives. For more information on the March on Washington, please contact Leah Hawkins by email: [email protected] or phone: 916-929-9761. We look forward to your participation in this important event.

Page 3: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

2018 Workforce Development Highlights

In 2018, CRIHB launched workforce development programs aimed at growing Tribal communities’ capacity. These programs focused on integrating online learning platforms with adult education programs to provide accessible opportunities.

Clinical Medical Assistant Training Program The inaugural cohort of CRIHB’s Clinical Medical Assistant (CMA) Training Program graduated in June 2018 from San Francisco State University’s College of Extended Learning. The program consists of five months of online modules, monthly professional development webinars, in-person clinical labs, and an externship opportunity. Funded by The California Endowment, CRIHB provided tuition and travel scholarships to all students. A total of 14 students from Tribal Health Programs and Tribal communities earned their certification as a CMA. The second cohort of CMA students began their program in January 2019, and we look forward to supporting these students. Experience as a CMA can serve as a stepping stone to becoming a nurse, mid-level provider or a physician. In the end, this program is about creating pathways for Tribal communities to lay the groundwork to care for their own as well as strengthen their expression of sovereignty and self-determination.

Community Health Representative Training Program In conjunction with trainers from Washington State Department of Health – Office of Healthy Communities, CRIHB hosted the first cohort of Community Health Representative (CHR) students in July 2018. The training program consists of two in-person trainings and six weeks of an online curriculum. This aims to improve the basic competencies of CHRs such as assessment, documentation, and service coordination skills. A total of 18 students completed the training program from various CRIHB member Tribal Health Programs. We will be recruiting the next cohort of CHR students in April.

Medical Scribe Training Program In the summer of 2019, CRIHB will open applications for the first year of the Medical Scribe Training program. This program is made possible through a collaboration with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare providers and patients. As part of the care team, Medical Scribes join the provider and patient in the exam room to document the entire visit. This allows the provider to give full attention to the patient and to clinical thinking rather than typing and navigating through the electronic health record system. Patients benefit from the extra attention and care they receive. In addition to the providers and patients, Medical Scribes benefit from having a deep experience in the delivery of health care. We hope the program will be an entry point for Tribal members to begin a career in healthcare. With this experience, students can consider continuing their education to become a nurse or provider. Building local healthcare capacity is another expression toward further Tribal sovereignty and self-determination.

Tribal Health Advisor - January 20193

Register: • Online, by mail or in

person• Registration does not

expire unless youchange your name oraddress or have notvoted in the last fouryears

How to Vote: • In person at your

polling place onelection day

• Early in personvoting at yourpolling place, ifapplicable

• Vote by mail

For more information visit

Online Registration: https://registertovote.ca.gov/

Election Resources: https://www.sos.ca.gov/elections/

Page 4: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

There are six new laws that become effective this year and that impact Indian Health Programs.

California AB1753: Effective January 1, 2019, controlled substance prescription forms must have a unique serial number in a format approved by the California Department of Justice. AB2760: Effective January 1, 2019, a prescriber must offer a naloxone hydrochloride (e.g., Narcan) prescription to a patient when specific conditions are met. If a prescription is written, the prescriber must provide education regarding overdose prevention and use of narcan to the patient and to persons the patient designates.

SB1448: Beginning July 1, 2019, doctors must actively inform their patients if they have been disciplined by their licensing board for sexual misconduct involving a patient, drug abuse, criminal conviction involving harm to a patient, or inappropriate prescribing that results in patient harm. “Doctors” includes physicians, surgeons, osteopaths, naturopathic doctors, chiropractors, podiatrists, and acupuncturists.

FederalCenters for Medicare and Medicaid Services (CMS): On January 1, 2019, CMS published new Medicare Part D Opioid policies for Medicare drug plans. The new policies include improved safety alerts when patients fill opioid prescriptions and drug management programs for patients at-risk for misuse or abuse of opioids or other drugs. In addition, CMS released new training materials and tip sheets for prescribers, pharmacists, and patients.

CMS Medicare and Medicaid Major Final Rule: The Rule (published November 23, 2018), makes changes to the Medicare program, including changes to the physician fee schedule and Part B payments, shared savings program requirements, and the quality payment program. In addition, the Rule makes changes in the Medicaid program, the quality payment program, and expands use of telehealth services for treatment of opioid use disorder.

Environmental Protection Agency (EPA): Beginning June 10, 2019, changes affecting disposal of drugs or use of reverse distribution programs become effective. The rule requires health facilities that dispose of prescription pharmaceuticals to register with the US EPA, separate listed, characteristically hazardous pharmaceuticals from unlisted, non-hazardous pharmaceuticals, train staff to comply with the rule, and dispose of hazardous pharmaceuticals within one year of their being determined to be a waste.

Department of Health and Human Services published Healthcare Cybersecurity Best Practices Guidelines on December 28, 2018. The guidelines explore the five most relevant and current threats to the health care industry, recommend 10 cybersecurity practices to mitigate these threats, and contain two technical volumes for information technology, one for small organizations and the other for medium and large organizations.

New Laws Impacting Indian Health Programs

California Rural Indian Health Board, Inc. 4

Page 5: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

340B Compliance National Indian Health Board

The federal 340B program allows Tribal and Urban Indian Health Programs to purchase drugs at a substantially reduced price – on average a 51% reduction. These drugs can be dispensed to patients from a clinic, clinic pharmacy, or a contracted retail pharmacy.

Having access to these discounted drugs comes with a number of rules. Indian health programs purchasing the 340B drugs is responsible for assuring its own compliance as well as the compliance of its contracted pharmacies. The health program must also have processes in place to monitor compliance. Monitoring includes reviewing the clinic’s internal processes as well as those of the contracted pharmacies. Health programs are expected to monitor their contracted pharmacies monthly and arrange for an annual external audit of those pharmacies.

Common errors found during reviews and audits include:

1. Information on the Office of Pharmacy Affairs (OPA)database for the health program or the contractedpharmacy is out of date;

2. No signed contract between the Health program andretail pharmacy;

3. Contracted pharmacy not registered on the OPAdatabase;

4. Health program did not provide appropriate monthlyoversight; and

5. Health program did not have an annual external auditof contracted pharmacies performed.

Indian health programs are subject to a federal audit of their 340B compliance. Failure to comply with OPA guidelines can result in a corrective action plan or exclusion from the 340B program, depending upon the severity of the finding. CRIHB has provided a 340B resource for its full member programs. The Visante company is available to provide technical assistance, assist with policies and procedures, and perform the annual external audit.

The National Indian Health Board (NIHB) will be holding its 36th Annual Tribal Health Conference in California this year. CRIHB will host a culture night, featuring many of California’s Tribes. The NIHB Annual Tribal Health Conference is the nation’s most comprehensive Tribal health event, and we are pleased that you are part of it. It is important to gather to uphold sovereignty, strengthen trust, and to promote and protect the promise of health for our People. Sovereignty is at the heart of our identity and honors the government-to-government relationship between Tribal Nations and the United States.

The Pechanga Band of Luiseno Indians will host the 36th Annual NIHB Tribal Health Conference. The event is scheduled September 16 – 20, 2019. Representatives from Tribes across the country will gather for this unique opportunity to highlight the great state of California’s Tribes and their cultures.

The conference will also include special features like culture night, NIHB Awards Ceremony, CMS day, and Just Move It Walk. It attracts an average of 900 attendees, encompassing a broad representation from Tribal health services and the public health community. Attendees include Tribal leaders, health care providers, clinic administrators, policy leaders, local decision makers, community health promotion and disease prevention professionals, public health personnel, consumers, and advocates.

Tribal Health Advisor - January 2019 5

Page 6: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

The California Endowment is supporting statewide outreach and education efforts for the 2020 US Census. People Power is based on the idea that when democracy thrives, health thrives. In order for democracy to thrive, communities need to be active and engaged with the decision-making process, especially when they have been historically marginalized and excluded. The failure to fully enumerate the American Indian and Alaska Native population results in reductions in federal and state services and resources. CRIHB will engage in outreach and community efforts in 2019 to promote the importance of an accurate census count and encourage civic participation.

Launch of the 2020 Census Campaign - People Power

CRIHB Working with Tribes to Address the Opioid Epidemic

California Rural Indian Health Board, Inc. 6

California Tribal Opioid SummitThis past December, over 100 attendees from across the state convened at the Chukchanski Gold Resort and Casino for the inaugural California Tribal Opioid Summit. The goal of the summit was to provide education, share promising practices, and foster partnerships between State, Tribal, behavioral health, and medical partners to address the misuse and abuse of opioids that affect Tribal communities. Both keynote speakers, Dr. Jorge Mera and Dr. Corey Waller, were dynamic and engaging and spoke to the importance of medication assisted treatment.

Tribal Opioid Strategic PlanWith guidance from the Opioid Tribal Advisory Committee, CRIHB is developing an actionable strategic plan to address the opioid overdose epidemic in California Tribal communities. CRIHB will collaborate with Tribal leaders and community members to assess the impact of the opioid epidemic among youth, adult, and elder Tribal community members through regional elder convening’s and youth focus groups.

Tribal Local Opioid CoalitionsCRIHB recently funded the following seven Tribal Local Opioid Coalitions to reduce opioid use and misuse in their Tribal communities: Big Valley Rancheria, Karuk Tribe, Mathiesen Memorial Health Clinic, Indian Health Council, Sonoma County Indian Health Project, Toiyabe Indian Health Project, United Indian Health Services, and Yurok Tribe. They will be completing a community readiness model, developing a Tribal Action Plan, and developing/strengthening partnerships across sectors. CRIHB plans to fund an additional eight coalitions, for a total of 15 Tribal Local Opioid Coalitions.

Youth Leadership Summit

In July of 2019 CRIHB will host a Youth Leadership Summit along with the Northwest Portland Area Indian Health Board. Topics for the conference will include: Traditional Leadership, Opioids (its effect on the youth in our community) and Domestic Violence. CRIHB’s newly formed youth council will take part in the planning by providing input on youth focused events and provide content showcased on the CRIHB website/social media. CRIHB currently has several grants that focus on youth prevention and education (Teen pregnancy prevention, suicide prevention, HIV prevention and Opioid response).

Page 7: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

Tribal Medi-Cal Administrative Activities Updates

Tribal Health Advisor - January 20197

The Department of Health Care Service (DHCS) sent an ‘All Plan Letter’ dated July 17, 2017 to Managed Care Organizations (MCO) advising changes to Non-Medical Transportation (NMT) services. Within this letter, MCOs were advised that NMT services are to be covered under the MCO’s benefits, effective July 1, 2017.

Since being notified of the changes to the NMT program, CRIHB has been diligently working on a resolution with DHCS, MCOs in our servicing counties, and Centers for Medicare and Medicaid Services with the goal of main-taining the Tribal Medi-cal Administrative Activities Updates (TMAA) program for Tribal Health Programs (THP). Ultimately, maintaining the integrity and structure of the TMAA program is the current focus.

CRIHB has identified the MCOs that service the THP areas as: Anthem Blue Cross, California Health and Wellness, HealthNet, Inland Empire Health Plan, and Partnership Health Plan of California. Each of these MCOs contract with transportation brokers to provide NMT services to their areas. Anthem Blue Cross California Health and Wellness, and HealthNet contract with LogistiCare as their NMT broker. Partnership Health Plan of California contracts with Medical Transportation Management (MTM) as their NMT broker.

CRIHB has identified the NMT through MCO participation requirements for THPs and Tribes. Those who wish to continue to participate in NMT will have to contract with the MCO Broker (Logisticare or MTM) as a transportation provider and directly submit mileage reimbursement logs for any transportation of individuals enrolled in managed care plans. However, if a patient is a Medi-Cal Fee for Service beneficiary, the THP can continue to submit claims through the TMAA program.

CRIHB continues to meet with the MCOs and their transportation brokers to obtain and provide the best, ongoing, information for NMT services to our Tribal communities. At this time, CRIHB continues to process claims for all Me-di-Cal Administrative Activities specific codes to DHCS as well as transportation for patients enrolled into Medi-Cal FFS. Regardless of the program change, THPs should continue to provide transportation services to patients in need.Please contact Alana Perez-White at [email protected] with any questions you may have.

Page 8: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

The Adventures of Rippy

California Rural Indian Health Board, Inc. 8

Meet the Research and Public Health (RPH) Department's new mascot: Rippy! Rippy joined the RPH team in August, and has been accompanying his fellow RPH coworkers on their journeys to outreach events, conferences, and services in California Indian communities. Rippy continues to visit Tribal communities across the State. Rippy recently visited Happy Camp to conduct a training on Narcan to the Karuk and Bishop Tribal communities.

Page 9: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

CRIHB Head Start and Child Development Fund Programs Currently Recruiting Families

Head Start is a federally funded pre-school program for children ages three and four, to prepare for kindergarten entry. The Tribal Child Development Department (TCD) is currently recruiting families for three of the department’s programs. TCD with the support of Lytton Band of Pomo Indians, Manchester-Point Arena Band of Pomo Indians, and Elk Valley Rancheria provides Head Start services at its Santa Rosa, Point Arena, and Crescent City locations. Besides working on early literacy, math, and science, CRIHB incorporates Tribal language and culture into the curriculum. Children learn about being stewards of the environment by gardening, planting redwoods, and raising steelhead to release into the local rivers and streams. TCD is currently recruiting children for the 2019-2020 school year. Applications can be picked up at the Lytton Education Center in Santa Rosa (1592 Fulton Road), P’Da Head Start Center in Point Arena (10 Mamie Laiwa Dr.), Elk Valley Head Start Center in Crescent City (2298 Norris Ave, Suite C), or by calling Chris Cooper or Val Camargo at 916-929-9761.

The Lytton First Steps Preschool Program is also recruiting Lytton members in the Santa Rosa area for the 2019-2020 school year. Applications can be picked up at the Lytton Band of Pomo Indians Tribal Office, Lytton Education Center in Santa Rosa, or by calling Chris Cooper or Val Camargo at the CRIHB office.

TCD operates the Child Care and Development Fund (CCDF) which assists with the costs of child care for children ages birth to thirteen. CCDF funds can subsidize child care at State or Tribally Licensed Day Cares, After School programs, Non-licensed Family Member Day Care with Grandparents, Uncles or Aunts only, and Non-Licensed Family Home and Group Day Home Care. A family does not have to live on Tribal land to receive subsidies. The family only needs to live in California with either the parent or the child being a registered member of Big Lagoon Rancheria, Big Valley Rancheria, Cold Springs Rancheria, Elk Valley Rancheria, Federated Indians of Graton Rancheria, Fort Bidwell Reservation, Greenville Rancheria, Ione Band of Miwok Indians, Kashia Band of Pomo Indians of Stewarts Point Rancheria, Manchester Band of Pomo Indians, Resighini Rancheria, Shingle Springs Rancheria, Tejon Indian Tribe, Tule River Indian Reservation, or Wilton Rancheria. Families can apply at any time during the year. For more information, please contact Shelly Whitebear or Kristian Zavala at 916-929-9761.

Tribal Child Development staff out in the community.

Tribal Health Advisor - January 2019 9

Page 10: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

Michelle Thomas began as a temporary Administrative Assistant in October of 2018 and is now a full time Administrative Assistant in the Health Systems Development department. She recently left the bay area where she worked at ExecutivEdge of Silicon Valley, a Leadership and Development firm. She has

worked in the corporate and non-profit sector as a Project Manager-Executive Assistant for over 15 years.

Haille Worrell joins CRIHB as a Health Education Specialist I. She has studied and worked in the Public Health sector for a few years now. She has recently graduated from San Diego State University with a Master’s Degree in Public Health, with a focus on Health Promotion and

Behavioral Science. She also holds a Bachelor’s Degree in Sociology, with a minor in Pan-African Studies. At CRIHB, she is pursuing and living out her passion of increasing minority health access and diminishing health disparities of underserved communities. She is stationed in San Diego as a remote employee for CRIHB.

Gerardo “Jerry” Ramirez recently graduated from the University of San Francisco with a dual MPH and MSBH degree. He joins CRIHB as a Health Education Specialist I. Prior to CRIHB, he worked as a substitute teacher in Vacaville and Woodland. Jerry has worked with Communicare

Healthcare Centers (CHC) in the Davis and Woodland communities as a prenatal health educator and provided behavioral health services to children and families. He helped CHC outreach to community members to enroll them in Medi-Cal after the Medi-Cal expansion of 2014. He is stationed in Woodland as a remote employee for CRIHB.

Tamika Bennett joins CRIHB as a Project Coordinator. She has expertise in the following industries: non-profit, academia, social service, entertainment, banking, and corporate. She has 25 years’ experience in human services, 9 years spent as an executive director. Tamika

has specialization in youth/program development, management, capacity building, evaluation, marketing, community mapping, community engagement and strategic planning. She holds a BA in Theatre Directing and Sociology; and a pending Master degree in Public Health.

CRIHB Welcomes Haille Worrell

CRIHB Welcomes Tamika Bennett

CRIHB Welcomes "Jerry" Ramirez

CRIHB Welcomes Patty Stern

CRIHB Congratulates Michelle Thomas

10

Patty Stern brings to the Contract Administrator’s role several decades of various contracting skills acquired in both the commercial and government industries. She has worked closely with CMS as well as several state governments and is excited to add non-profit

to her skill set. Since moving back to northern California in 2017, she has been consulting for several healthcare start-ups with a focus on pharmacy. Patty holds a BS in Finance from the University of Illinois. Since 2017, she has been consulting for several healthcare start-ups.

California Rural Indian Health Board, Inc. 10

Page 11: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

savethe

date

Peppermill Resort, Spa & Casino 2707 S. Virginia StreetReno, Nevada 89502

(800) 648-6992https://www.peppermillreno.com/

I n d i a n H e a l t h S e r v i c e / C a l i f o r n i a A r e a O f f i c e

2 0 1 9 A n n u a l T r i b a l C o n s u l t a t i o n

[email protected]

TRIBAL GOVERNMENTS CONSULTATION COMMITTEE MEETINGMONDAY, APRIL 8, 2019 / 5-8 PM

CAIHS Annual Tribal Consultation Meeting: April 9-11, 2019

FOR MORE INFORMATION CONTACT:Stratton King

tel: 916-286-7203

CAIHS Agenda:Voting Issue * Listening Session with IHS Leadership * Youth Wellness * Historical Trauma

and Suicide Prevention * Sober Living * Reports from California Representatives

Meeting Topic:

MEETING ROOM: SIERRA 1748

California Rural Indian Health Board, Inc. 11

Page 12: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

To RSVP and to reserve your room, please contact Leah Hawkins, Executive Assistant, at (916) 929-9761 or [email protected]

2019 Annual March on Washington

April 29 - May 3, 2019The Liaison Capitol Hill Hotel

415 Jersey Ave., NWWashington, DC 20001Phone: (888) 513-7445Code: CRIH19Rate: $299.00 Per NightRoom Block Expires: 3/29/2019

California Rural Indian Health Board

Save the Date

California Tribal Voices - Making a Di�erence: 2019 March onWashington

California Rural Indian Health Board, Inc. 12

Page 13: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

Tribal Health Advisor - January 201913

April 18-19, 2019 LOCATION

Thursday, April 18, 20199:00 A.M. 10:00 A.M. Credentials Committee 10:00 A.M. 12:00 P.M. Board of Directors Meeting 1:00 P.M. 4:00 P.M. Board of Directors Orientation

Friday, April 19, 20199:00 A.M. 4:00 P.M. Board of Directors Orientation

Travel days April 17th & 20th, 2019

The Lodge at Feather Falls Casino 3 Alverda Drive

Oroville, CA 95966

California Rural Indian Health Board Quarterly Board of Directors

Meeting/Orientation

Please contact Leah Hawkins, Executive Assistant, to RSVP and reserve your hotel room.

(916) 929-9761 ext.1001 [email protected].

TENTATIVE AGENDA

__

_

_

Page 14: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

CRIHB MEMBER TRIBAL HEALTH PROGRAMS

CRIHB 2019 BOARD OF DIRECTORS

California Rural Indian Health Board, Inc. 14

New Years Day (Observed)

Finance Committee Meeting....................................................................................

Martin Luther King’s Birthday (Observed)

Quarterly Board of Directors, TGCC & THP Directors Meeting............................

Suicide & Mental Health Advisory Committee Meeting........................................

Presidents Day (Observed)

Dental Advisory Committee Meeting.....................................................................

CAIHS Networking Session....................................................................................

CAIHS Course: White Bison and Law & Ethics for Counselors............................

Finance Committee Meeting....................................................................................

Northern Regional Training.....................................................................................

ACORNS/CITE Regional Training........................................................................

California Indian Opioid Statewide Coalition Meeting..........................................

Trauma Informed Wellness Conference..................................................................

TGCC & CAIHS Annual Tribal Consultation Meeting...........................................

CTEC Advisory Council Meeting...........................................................................

Quarterly Board of Directors Meeting/Orientation................................................

CTEC Data, Evaluation & Grant Writing Training.................................................

CTEC MSPI & DVPI Grantee Meeting...................................................................

Annual March on Washington.................................................................................

Dental Advisory Committee Meeting.....................................................................

CAIHS & CRIHB DSC Continuing Education Conference.......................................

National Indian Day (Observed)

Annual Billing & Compliance Conference..............................................................

Traditional Indian Health Gathering........................................................................

CRIHB/IHS Best Practices Conference..................................................................

Memorial Day Holiday (Observed)

CAIHS Course: Introduction and Overview to Chemical Dependency...............

ACORNS / CITE Resource Meeting.......................................................................

Finance Committee Meeting....................................................................................

Independence Day Holiday (Observed)

Joint CRIHB & NPAIHB Board of Directors, TGCC & THP Directors Meeting.....

Tribal Youth Leadership Conference......................................................................

Head Start Pre-Service Training..............................................................................

CAIHS Networking Session....................................................................................

CAIHS Course: Family Roles in Treatment & Recovery & Harm Reduction........

Labor Day Holiday (Observed)

NIHB 39th Annual National Tribal Health Conference...........................................

CA Native American Day (Observed)

50th Annual Board of Directors, TGCC & THP Directors Meeting..........................

Finance Committee Meeting....................................................................................

Veteran’s Day Holiday (Observed)

Thanksgiving Holiday (Observed)

Holiday (Observed)

January 1

January 4

January 21

January 24-26

January 24

February 18

February 25-27

March 6

March 7-8

March 15

March 19-20

March 22

April 3-4

April 9-11

April 9-11

April 12

April 18-19

April 23-24

April 25

April 29-May3

May 5

May 6-9

May 10

May 14-16

May 17-19

May 20-23

May 27

June 10-14

June 11-13

June TBD

July 4

July 15-18

July 15-18

August 12-15

August 14

August 15-16

September 2

September 16-20

September 27

October 17-19

October TBD

November 11

November 28-29

December 25

2019 Calendar of Events Date Event Location

ACORNS Advancing California Opportunities to Renew Native Health SystemsCAIHS California Indian Health ServiceCTEC California Tribal Epidemiology CenterDSC Dental Support CenterDVPI Domestic Violence Prevention Initiative

MSPI Methamphetamine Suicide Prevention Initiative NIHB National Indian Health BoardNPAIHB Northwest Portland Area Indian Health Board TGCC Tribal Governments Consultation Committee THP Tribal Health Program

CRIHB

CRIHB

CRIHB

Anaheim, CA

CRIHB

CRIHB

CRIHB

Redding, CA

TBD

TBD

Rancho Cordova, CA

Reno, NV

CRIHB

Oroville, CA

Cabazon, CA

Cabazon, CA

Washington, D.C.

Sacramento, CA

Sacramento, CA

CRIHB

Forestville, CA

Sacramento, CA

CRIHB

Forestville, CA

CRIHB

Lincoln, CA

Lincoln, CA

TBD

CRIHB

CRIHB

Temecula, CA

CRIHB

CRIHB

Page 15: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

CRIHB MEMBER TRIBAL HEALTH PROGRAMS

Greenville Rancheria Tribal Health Program

P.O. Box 279Greenville, CA 95947

530.284.7990

United Indian Health Services, Inc.

1600 Weeot WayArcata, CA 95521

707.825.5000

Karuk Tribal Health& Human Services

P.O. Box 1016 Happy Camp, CA 96039

530.493.5305

Mathiesen MemorialHealth ClinicP.O. Box 535

Jamestown, CA 95327209.984.4820

Pit River Health Service, Inc.36977 Park Avenue Burney, CA 96013

530.335.5090

Tule River Indian Health Center, Inc.

P.O. Box 768Porterville, CA 93258

559.784.2316

Feather River Tribal Health, Inc.

2145 5th Ave.Oroville, CA 95965

530.534.5394

Redding RancheriaTribal Health Center1441 Liberty Street

Redding, CA 96001530.224.2700

Toiyabe Indian Health Project, Inc.

52 TuSu LaneBishop, CA 93514

760.873.8464

Chapa-De Indian Health Program, Inc.

11670 Atwood AvenueAuburn, CA 95603

530.887.2800

Riverside-San Bernardino County Indian Health, Inc.

11980 Mt. Vernon Ave.Grand Terrace, CA 92313

909.864.1097

Warner Mountain IndianHealth Program

P.O. Box 247Fort Bidwell, CA 96112

530.279.6194

K'ima:w Medical CenterP.O. Box 1288

Hoopa, CA 95546530.625.4261

Anav Tribal Health Clinic 9024 Sniktaw Lane

Fort Jones, CA 96032530.468.4470

Table Mountain Rancheria Medical

P.O. Box 410Friant, CA 93626

559.822.3785

Sonoma County Indian Health Project, Inc.144 Stony Point Rd

Santa Rosa, CA 95401707.521.4545

CRIHB 2019 BOARD OF DIRECTORS

Tribal Health Advisor - January 201915

Page 16: Tribal Health ADVISOR · 6.01.2019  · with Shasta College. The Medical Scribe role is being rapidly adopted among clinics nationally because of the benefits it brings to both healthcare

CALIFORNIA RURAL INDIAN HEALTH BOARD, INC.1020 Sundown Way, Roseville, CA 95661

1.916.929.9761, phone1.916.929.7246, faxwww.crihb.org

PRSRT STANDARDU.S. POSTAGE

PAIDROSEVILLE, CA

PERMIT 266